DETERMINATION OF PRESSURE INJURY PREVALENCE AND RISK FACTORS IN A STATE HOSPITAL: POINT PREVALENCE STUDY

Abstract

Objective: Tis study aimed to determine the point prevalence of pressure injuries and associated risk factors in a state hospital. Method: This descriptive and cross-sectional point prevalence study was conducted on November 11, 2025, with 110 patient hospitalized for at least 24 hours in the adult intensive care, palliative care, internal medicine and surgical clinics of a state hospital in Turkey. Data were collection using a descriptive patient characteristics form, the Braden Pressure Injury Risk Assessment Scale and a pressure ınjury monitoring form. Data analysis was conducted using independent sample t-test, chi-square test and logistic regression analysis. Results: It was determined that %29,1 of the 110 patients included in the study had pressure injuries, with a hospital-acquired pressure injuries prevalence of %11,3. Among the detected pressure injuries, the most frequent severity was Stage-2 (%30) and the most common occurrence site was the sacrococcygeal region (%33,3). Logistic regression analysis revealed that length of hospital stay (p=0,006), having a high/moderate Braden risk score (p<0,001) and low hemoglobin level (p=0,017) were independent risk factors that significantly increased the risk of pressure injury development. Conclusion: Patients with longer hospital stays, those in the high and moderate risk groups according to the Braden risk assessment and those with low hemoglobin levels were found to have a high prevalence of pressure injury. In this context, it is recommended that this patient groups be evaluated more carefully and evidence-based preventive measures be implemented at an early stage.

Keywords

• Pressure Injury
• Nursing
• Braden
• Prevalence
• Risk Factors

BİR DEVLET HASTANESİNDEKİ BASINÇ YARALANMALARI PREVALANSI VE RİSK FAKTÖRLERİNİN BELİRLENMESİ: NOKTA PREVALANS ÇALIŞMASI

Öz

Amaç: Bu araştırmanın amacı bir devlet hastanesindeki basınç yaralanmaları nokta prevalansını ve basınç yaralanmaları oluşumu ile ilişkili risk faktörlerini belirlemektir. Yöntem: Araştırma, tanımlayıcı ve kesitsel nitelikte nokta prevalans çalışması olarak yapılmıştır. Çalışma 11 Kasım 2025 tarihinde Türkiye’de bir ilin devlet hastanesinin yetişkin yoğun bakım, palyatif bakım, dahili ve cerrahi kliniklerinde en az 24 saattir yatarak tedavi gören 110 hasta ile gerçekleştirilmiştir. Verilerin toplanmasında tanıtıcı hasta özellikleri formu, Braden Basınç Yaralanması Risk Değerlendirme Ölçeği, basınç yaralanmaları izlem formu kullanılmıştır. Verilerin analizi bağımsız örneklem t testi, ki-kare ve lojistik regresyon analizleri ile değerlendirilmiştir. Bulgular: Araştırmaya dahil edilen 110 hastanın %29,1’inde basınç yaralanmaları olduğu, hastane kaynaklı basınç yaralanmaları prevalansının %11,3 olduğu saptanmıştır. Hastalarda tespit edilen basınç yaralanmalarının en sık Evre-2 (%30) olduğu ve sakrum-koksiks (%33,3) bölgesinde görüldüğü belirlenmiştir. Lojistik regresyon analizinde, hastanede kalış süresinin (p=0,006) ve yüksek/orta Braden risk puanına sahip olmanın (p<0,001) ve düşük hemoglobin düzeyinin (p=0,017) basınç yaralanmaları gelişimi riskini artırdığı saptanmıştır. Sonuç: Hastanede daha uzun süre yatan, Braden risk değerlendirmesine göre yüksek ve orta riskli grupta olan ve hemoglobin düzeyi düşük olan hastalarda basınç yaralanmalarının yüksek olduğu belirlenmiştir. Bu bağlamda bu grup hastaların daha dikkatli değerlendirilmesi ve erken dönemde kanıt temelli koruyucu önlemler alınması önerilmektedir.

Anahtar Kelimeler

• Basınç Yaralanmaları
• Hemşirelik
• Braden
• Prevalans
• Risk Faktörleri

Kaynakça

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